Claims benefit specialist vs auto claims adjuster

The differences between claims benefit specialists and auto claims adjusters can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a claims benefit specialist, becoming an auto claims adjuster takes usually requires 2-4 years. Additionally, an auto claims adjuster has an average salary of $52,621, which is higher than the $47,292 average annual salary of a claims benefit specialist.

The top three skills for a claims benefit specialist include customer inquiries, appeals and medical terminology. The most important skills for an auto claims adjuster are repair process, body shop, and strong customer service.

Claims benefit specialist vs auto claims adjuster overview

	Claims Benefit Specialist	Auto Claims Adjuster
Yearly salary	$47,292	$52,621
Hourly rate	$22.74	$25.30
Growth rate	-6%	-6%
Number of jobs	32,208	16,187
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 72%
Average age	44	44
Years of experience	6	4

What does a claims benefit specialist do?

Claims and benefits specialists ensure their company's compliance with the internal and external health plan partner processes. The job requires them to be sharp, organized, and able to multitask. They recommend strategies that will improve the processes present in the current trends that they constantly evaluate. These specialists manage portfolios of claims and benefits issues and ensure that they provide the best resolutions that follow the health plan processing guidelines to impress their clients.

What does an auto claims adjuster do?

A claims adjuster inspects insurance claim liability for property damage or personal injuries and calculates payments. They can either work in-house for insurance companies or as external freelancers. They collect gathered information from different reliable sources to determine insurance obligations based on the degree of damage caused. It is part of their responsibility to interview claimants and witnesses and refer with experts like engineers or policyholders to estimate the damage and if it's covered by insurance policies.

Claims benefit specialist vs auto claims adjuster salary

Claims benefit specialists and auto claims adjusters have different pay scales, as shown below.

	Claims Benefit Specialist	Auto Claims Adjuster
Average salary	$47,292	$52,621
Salary range	Between $32,000 And $68,000	Between $38,000 And $71,000
Highest paying City	-	Jersey City, NJ
Highest paying state	-	Alaska
Best paying company	-	EMC Insurance
Best paying industry	-	Insurance

Differences between claims benefit specialist and auto claims adjuster education

There are a few differences between a claims benefit specialist and an auto claims adjuster in terms of educational background:

	Claims Benefit Specialist	Auto Claims Adjuster
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 72%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Claims benefit specialist vs auto claims adjuster demographics

Here are the differences between claims benefit specialists' and auto claims adjusters' demographics:

	Claims Benefit Specialist	Auto Claims Adjuster
Average age	44	44
Gender ratio	Male, 19.6% Female, 80.4%	Male, 52.2% Female, 47.8%
Race ratio	Black or African American, 11.4% Unknown, 4.4% Hispanic or Latino, 16.9% Asian, 5.2% White, 61.6% American Indian and Alaska Native, 0.5%	Black or African American, 12.1% Unknown, 4.4% Hispanic or Latino, 16.3% Asian, 5.1% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between claims benefit specialist and auto claims adjuster duties and responsibilities

Claims benefit specialist example responsibilities.

Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
Establish a working knowledge of CPT, ICD-9, HCPCS codes, terminology, member benefits and claim flow.
Process claims utilizing appropriate ICD-9, DSM-IV and HCPCS codes.
Analyze each claim and calculate percentages for both PPO and NON-PPO providers.
Understand CPT, HCPCS, ICD-9-CM and ICD-10-CM medical claims coding regulations and guidelines
Process Non-HMO and PPO paper and electronic claims in an accurate and time manner.

Auto claims adjuster example responsibilities.

Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
Work closely with staff attorneys to develop litigation strategies and prepare for depositions.
Provide feedback and implement strategies on claim investigation, reserving, settlement and litigation.
Research and review delinquent mortgage cases, financial scenarios and individual homeowner situations to develop solutions compliant with investor policy.
Prepare written arguments for arbitration and provide all supporting documentation and evidence.
Compile and submit arbitration applications against the insurers of at-fault parties who refuse liability.

Claims benefit specialist vs auto claims adjuster skills

Common claims benefit specialist skills

Customer Inquiries, 11%
Appeals, 7%
Medical Terminology, 6%
Routine Claims, 5%
CPT, 4%
Processing Issues, 4%

Common auto claims adjuster skills

Repair Process, 14%
Body Shop, 10%
Strong Customer Service, 9%
Vehicle Inspections, 8%
Insurance Claims, 7%
Customer Service, 5%

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Claims Benefit Specialist
Claims Benefit Specialist vs Auto Claims Adjuster

Updated January 8, 2025

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